{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Rosalee G Truelove","gend":1,"currentgend":"","add":"1272 Boyles Mill Rd NE","city":"Dalton","state":"GA","zip":30721,"dob":"2013-09-17","age":"","mstatus":"","insh":"AS1004705003","cliId":"","pno":7062801528,"cno":7062801528,"email":"jowens0713@gmail.com","ename":"","eno":"","pphy":"Natalie Bessom","ppno":7062269355,"pcpadd":"3957 CLEVELAND HWY STE B","pcpcity":"DALTON","pcpstate":"GA","pcpzip":30721,"pcpcounty":"","pcpid":"","pcpname":"3957 CLEVELAND HWY STE B","plan":"Alliant","program":"ACA","lob":"2026-Wave-1","region":"","aligned":"N","ano":"","add2":"","add3":"","madd1":"1272 Boyles Mill Rd NE","madd2":"","madd3":"","mcity":"Dalton","mstate":"GA","mzip":30721,"pcpfaxno":7062269380,"pcpnpi":1235517137,"currentgendcomment":"","pphycomment":"","uniqueid":212558,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":{"0":{"a":{"diag":["F41.9","G80.0","M62.81","F82","K59.09","Z88.2","Z88.1","Z87.440","R48.0","G80.9","Z79.899","Z87.68","R27.8","P07.31","F41.8","G80.1","R62.50","F90.9","G40.909","M62.49","J11.1","R07.0","Q65.89","R76.8","Z00.129","Z71.3","Z71.82","Z68.52","Z71.6","Z01.10","Z01.00","Z13.0","Z13.220","Z13.1","Z23","R41.840","K02.53","P91.2","H66.001","J06.9","Z87.442","R26.2","J02.0","R05.1","R50.9","N20.0","R62.0","Z71.89","Z13.42","Z00.121","M62.9","R01.1","H50.9","Q02","D69.3","N13.39","J02.9","R53.83","M25.371","M25.372","M21.962","M21.961","K02.9","Z01.818","G40.209","R25.2","R30.0","N39.0","S93.601","R63.6","R10.84","N20.1","N39.44","H10.023","J01.90","L03.119","R10.9","N20.9","G80.8","H61.23","I61.5","P07.30","P52.0","H52.03","Z98.890","H50.10","H52.203"],"date":["2025-09-29","2026-01-19","2026-03-08","2026-01-29","2023-09-28","2024-09-26","2024-09-26","2023-09-28","2025-09-29","2026-01-29","2025-01-03","2025-01-03","2026-01-29","2024-09-26","2024-09-26","2024-09-26","2024-09-26","2024-09-26","2025-03-26","2024-02-28","2023-12-15","2023-12-15","2024-10-17","2023-02-23","2025-06-09","2025-06-09","2025-06-09","2025-06-09","2025-06-09","2025-06-09","2025-06-09","2025-06-09","2025-06-09","2025-06-09","2025-06-09","2025-06-09","2024-09-26","2024-10-17","2025-10-22","2025-10-22","2023-09-20","2024-07-11","2026-03-08","2026-03-08","2026-03-08","2023-10-19","2025-01-06","2023-02-21","2024-06-05","2023-02-21","2024-12-18","2024-12-18","2024-12-18","2024-12-18","2024-12-18","2023-09-07","2025-05-31","2023-03-09","2024-08-30","2024-08-30","2024-08-30","2024-08-30","2024-09-03","2024-09-03","2025-01-03","2023-08-23","2023-05-31","2023-05-31","2023-04-06","2023-04-06","2023-09-04","2023-12-28","2023-03-06","2024-03-20","2024-03-20","2024-10-17","2023-09-07","2023-05-31","2024-09-17","2025-10-30","2024-09-17","2024-07-29","2024-07-29","2024-07-29","2024-07-29","2024-07-29","2024-07-29"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},"1":{"a":[]},"3":{"a":{"indx":["1",""],"comment":["",""],"sub":[]}}}},{"t":"COVID Screening","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Self-Assessment and Social History (SDOH)","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","","Levetiracetam","100 MG","","Select","Select",""],["","","Sertraline","25 MG","","Select","Select",""],["","","Dexamethasone","1 MG","","Select","Select",""],["","","Tamsulosin Hydrochloride","0.4 MG","","Select","Select",""],["","","Ketorolac Tromethamine","10 MG","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","Azithromycin","40 MG","","Select","Select",""],["","","Fluticasone Propionate","0.05 MG","","Select","Select",""],["","","Acetaminophen","21.7 MG","","Select","Select",""],["","","Amoxicillin","80 MG","","Select","Select",""],["","","Nitrofurantoin, Macrocrystals","50 MG","","Select","Select",""],["","","Oseltamivir","6 MG","","Select","Select",""],["","","Ofloxacin","3 MG","","Select","Select",""],["","","{1","0.1 ML","","Select","Select",""],["","","Methylphenidate Hydrochloride","10 MG","","Select","Select",""],["","","Brompheniramine Maleate","0.4 MG","","Select","Select",""],["","","Mupirocin","0.02 MG","","Select","Select",""],["","","Clindamycin","15 MG","","Select","Select",""],["","","Atomoxetine","25 MG","","Select","Select",""],["","","Sulfamethoxazole","40 MG","","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Assessment of Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}